campaign webinar state approaches to new patient retention december 4, 2013
DESCRIPTION
Campaign Webinar State Approaches to New Patient Retention December 4, 2013. 1. Actively participate and write your questions into the chat area during the presentation(s) Do not put us on hold Mute your line if you are not speaking (press *6, to unmute your line press #6) - PowerPoint PPT PresentationTRANSCRIPT
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Campaign WebinarState Approaches to New Patient Retention
December 4, 2013
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Ground Rules for Webinar Participation
• Actively participate and write your questions into the chat area during the presentation(s)
• Do not put us on hold• Mute your line if you are not speaking (press *6, to
unmute your line press #6)• Slides and other resources are available on our
website at incareCampaign.org• All webinars are being recorded
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Agenda
1. Welcome & Introductions, 5min2. Campaign Update, 10min3. Ohio Part B Program, 40min4. Announcements, 5min
In the chat room, Enter your:
1. name, 2. agency, 3. city/state, and 4. professional role at agency
Michael Hager, MPH MA NQC Manager,in+care Campaign ManagerNew York, NY
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Campaign Update
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in+care Campaign in 2014• Campaign database running through 2018!• Campaign website running through 2018!• Partners in+care Facebook maintained indefinitely• Campaign Newsletter moves to quarterly• Campaign Webinars move to quarterly• Partners in+care Webinars move to quarterly• Campaign Coaching integrates into NQC
Continuous TA Portfolios• Local Retention Groups that wish to continue
meeting should do so – NQC will support where possible
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2013-2014 in+care Campaign Activities
2013 2014
Activities JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
1-Campaign Webinar 2-Journal Club Webinar 3-Campaign Data Reporting Cycle by Participants
4-Availability of Database Benchmark Function
5-Improvement Strategy Cycle 6-in+care Website and Posting of Updates
7-Campaign Newsletter 8-Partners Webinar 9-Partners in+care Facebook 10-Campaign Coaching Availability
11-Local Retention Group Availability
12-Case Study Drafting 13-Final Report Drafting 14-Communications with participants around transition
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Submit Improvement Updates!
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Disseminating Improvement Work
Lightning Rounds!• 1 or 2 slides that contain the most salient points of your
retention projects• Include information on patient target, rationale for target selection and
baseline data from your measures (including the date)• Include information on each improvement cycle (what was tried, what
was the result per the data) – for early cycles short measures of change are not necessary, but add value!
• What are your conclusions? How are you sustaining improvement
• Simplicity and clarity are the idea!
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Disseminating Improvement Work
Case Studies• Help us tell your story!
• Campaign coaches are seeking longer, written stories about various groups’ journey through the in+care Campaign
• Contact your Campaign quality coach if you are interested in sharing your story!
• We are collecting 12 stories in total for publication
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Gap Measure Results (12/11 – 12/13)
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Visit Frequency Measure Results (12/11 – 12/13)
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New Patients Measure Results (12/11 – 12/13)
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Viral Load Suppression Measure Results (12/11 – 12/13)
LINKAGE FROM HIV TESTING TO HIV CARE
Definition Linkage: The process of connecting
a client from one service system to another, in this case from HIV testing to HIV care.
LTC = Linkage To Care
Why is this important? Reduce HIV transmission by connecting newly
diagnosed individuals to medical care as soon as possible after diagnosis; and
Connect more PLWHA with HIV-related medical and support services to improve their health; and
Facilitate a coordinated system of services from HIV prevention and testing to HIV care.
Systems Involved in Providing Linkage
PREVENTION CARE HIV CTR sites ODH HIV Prevention
Program HIV case management
agencies ODH HIV Care Services
HIV expanded testing sites
ODH HIV Prevention Program
Ryan White Emergency Financial Assistance Program
ODH HIV Care Services
Partner Services
ODH STD & HIV Prevention Programs
Ohio HIV Drug Assistance Program (OHDAP)
ODH HIV Care Services
Ohio HIV/STD Hotline
ODH HIV Prevention Program
Measure of Successful Linkage 90% of persons testing HIV+ will be referred to
LTC.
80% will be linked to medical care within 90 days of testing positive.
Successful linkage from testing to medical care is defined by the client attending the initial visit at a medical setting with a HIV care provider.
Polling Question!What proportion of your newly diagnosed people with HIV are linked to care?
0%-25% 26%-50% 51%-75% 76%-100% I’m not sure
Polling Question!What percentage of your clients who are linked to HIV care are retained in care (2 or more visits in the first year after linkage)?
0%-25% 26%-50% 51%-75% 76%-100% I’m not sure
Linkage Roles & Responsibilities HIV Test Counselor
Disease Intervention Specialist
HIV Prevention LTC Coordinator
Staff at HIV Care Agency
LTC Client Pathway
LARHCLinkage and Re-Engagement in HIV Care
How are we going to capture all these LTC activities?
Overview of systems involved The project will work with 3 existing
systems, eHARS, CareWare and ODRS.
eHARS CareWare ODRSPatientPatient Patient
Goals of LARHC To have a registry of everyone living with HIV to
provide Linkage to Care And Re-Engagement in Care Services.
To have a place to store data related to LARHC.
Have the ability to create reports from unified data.
Store new information related to patient/case.
Solution 1 for LARHC Extract information from CareWare and
eHARS, merge into ODRS and view consolidated info using ODRS GUI
eHARS
CareWare
ODRSODRS GUI
Pros/Cons of Solution 1PROS: Creates a central datastore for all information from
eHARS and CareWare. Information can be viewed using existing ODRS GUI.
CONS: Complicated ODRS system. Introducing new functionality into ODRS might create
new issues. Information is not current (eHARS, CareWare).
Solution 2 for LARHC Create a new subcomponent in ODRS
called LARHC and provide views into eHARS and CareWare.
eHARS
CareWare
view
view
ODRS system LARHC
Pros/Cons of Solution 2PROS: Provides views into external eHARS and CareWare
systems. Information can be viewed using existing ODRS GUI.
CONS: Complicated ODRS system. Introducing new functionality into ODRS might
create new issues.
Solution 3 for LARHC Create a new application independent of
ODRS that can satisfy all the needs of LARHC.
eHARS CareWare ODRS
LARHC GUILARHC
viewviewview
Pros/Cons of Solution 3PROS: Creates real time views into external systems. Does not involve extraction/transformation/loading
external data into ODRS. Provides ability to report data from various disparate
systems for reporting purposes. Allows Care Management specific information to be stored.
CONS: Dependent on external systems to show data.
Components of Solution 3
LARHC
Mapping
Query / Search
ReportingAdministration
Care Management
Challenges LTC coordinators in place before
protocols / IT system
Distinction between role of LTC coordinator, DIS and case manager
Patient confidentiality for long-term follow-up
Successes During first six months of 2013, 94.5% (411/435) of newly
identified, confirmed HIV-positive clients were referred to medical care.
During first six months of 2013, 64.6% (281/435) of newly identified, confirmed HIV-positive clients attended their first medical care appointment within 90 days of the confirmed HIV-positive test date.
HIV/STD Prevention, HIV Care, and HIV/STD Surveillance programs working collaboratively.
Special Thanks Elizabeth Cross – ODH HIV, STD, TB & Hepatitis
Surveillance Program Administrator
ODH HIV & STD surveillance epidemiologists
ODH HIV Care staff
Local health department staff
ODH Office of Management Information Systems staff
Contact InformationJen Keagy, MPH, CHES
HIV/STD Prevention Program Administrator 466-3173
Jill GarrattHIV Prevention Monitoring & Evaluation Coordinator
728-0877 [email protected]
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Announcements
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Upcoming Webinars: ― Partners in+care Webinar | SPNS Projects Examine
Retention in+care for HIV-Infected Transgender IndividualsThursday, December 10, 2013 | 2pm ET
Data Collection Submission Deadline: February 3, 2014
Improvement Update Submission Deadline: December 16, 2013
December, 2013 Campaign TopicDigital Health and Retention in+care
Upcoming Events and Deadlines
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Campaign Headquarters:National Quality Center (NQC)90 Church Street, 13th floorNew York, NY 10007Phone [email protected]
incareCampaign.orgyoutube.com/incareCampaign